Individual provider Active NPI

Lisa Arvind Patel, FNP-C

  • Family Nurse Practitioner
  • Spring Hill, FL
National Provider Identifier
1043049836
Registry record updated Jun 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11046467 Issued in FL
Practice address
120 Medical Blvd Ste 102
Spring Hill, FL 34609-0221
Phone
(352) 686-0086
Fax
(352) 684-2081
NPI assigned
Jul 30, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11046467 FL Primary

Addresses

Primary practice location

120 Medical Blvd Ste 102
Spring Hill, FL 34609-0221

Mailing address

5350 Spring Hill Dr
Spring Hill, FL 34606-4562
Phone (352) 277-5348

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lisa.patel.1@1498.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250214002828 GA Practitioner - Nurse Practitioner 4789114000 Reassigns benefits to 1 organization
I20260618000530 FL Practitioner - Nurse Practitioner 4789114000

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Harbin Clinic LLCGroup PAC ID 0446154231, 238 clinicians

Practice addresses (Care Compare)

150 Gentilly Blvd
Cartersville, GA 30120-8522
Phone (470) 490-7470

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN290562GAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Harbin Clinic, LLC Current Accepting new patients
Harbin Clinic, LLC CurrentSince Dec 9, 2024 Accepting new patients
Harbin Clinic, LLC CurrentSince Dec 9, 2024 Accepting new patients
Piedmont Medical Care Corporation PastSince Aug 1, 2024 Accepting new patients
Acworth Family Practice LLC PastSince Aug 1, 2024 Accepting new patients

Locations

150 Gentilly Blvd
Cartersville, GA 30120
Phone (678) 719-7000

1825 Martha Berry Blvd NW
Rome, GA 30165
Phone (706) 238-8073

221 Technology Pkwy NW
Rome, GA 30165
Phone (762) 235-1000

Interoperability endpoints

  • Direct secure messaging: lpatel3005016@carolinashealthcaresystem.direct-ci.com
  • Direct secure messaging: lisa.patel.1@1498.direct.athenahealth.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1722297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781481600000",
    "number": "1043049836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5350 SPRING HILL DR",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346064562",
            "telephone_number": "352-277-5348",
            "fax_number": "352-606-2857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 MEDICAL BLVD STE 102",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346090221",
            "telephone_number": "352-686-0086",
            "fax_number": "352-684-2081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "LISA",
        "middle_name": "ARVIND",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-30",
        "last_updated": "2026-06-15",
        "certification_date": "2026-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11046467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lisa.patel.1@1498.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "150 Gentilly Blvd",
            "city": "Cartersville",
            "state": "GA",
            "country_code": "US",
            "postal_code": "301208522",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Spring Hill, FL

Sources for this page

Verify at the official NPI Registry.